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우울과 음주의 관계에 대한 연구 - ‘긴장감소가설’과 ‘독성가설’에 대한 검증을 중심으로 -

A study on the relationship between depressive symptoms and alcohol use - Focusing on 'tension reduction theory' and 'intoxication theory'-

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참고문헌

키워드

주제분류사회복지학

초록

기존연구들에서 우울과 음주와의 상관관계는 높은 것으로 나타났으나, 두 변수 중에서 어떤 변수가 선행요인인가에 대해서는 알려진 바가 없다. 이러한 기존연구의 한계를 극복하기 위해서 본 연구는 비재귀구조방정식모델(non-recursive structural equation modeling)을 이용하여 음주와 우울 사이의 관계를 고찰하고 심리사회행동적 변수들이 음주와 우울에 영향을 주는 경로를 살펴보았다. 본 연구의 분석 자료는 2006년 한국복지패널(Korea Welfare Panel Study)조사에 참가한 14,469명을 대상으로 하였다. 음주가 우울에 선행한다는 독성가설과 우울이 음주에 선행한다는 긴장감소가설을 검증한 결과, 음주가 우울에 선행한다는 독성가설이 지지되었다. 또한 심리사회행동적 변수들의 음주에 대한 영향력의 상당부분이 음주를 통하여 영향을 미치는 것으로 나타났다. 이러한 결과를 바탕으로 실천적 함의에 대한 논의와 차후의 연구방향에 대해서 논의하였다.

Abstract

Previous research indicates that depressive symptoms and alcohol consumption are highly correlated with each other. However, there is lack of consensus on the causal relationship between depressive symptoms and alcohol use. In order to address this limitation, this paper examines causal relationship between the two variables using non-recursive structural equation modeling, controlling sociodemographic and psycho-socio-behavioral variables. Data included 14,469 community dwelling individuals who participated in Korea Welfare Panel Study in 2006. Results showed that the effects of alcohol consumption on depressive symptoms was statistically significant, whereas the effects of depressive symptoms on alcohol consumption was not. Significant portions of the effects of psycho-socio-behavioral variables on depressive symptoms were indirect through their effects on alcohol consumption. Based on the results, implications for intervention and future research were discussed.

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